| Entity Name: | SURGICAL ASSIST INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Jan 2001 (24 years ago) |
| Date of dissolution: | 09 Dec 2009 (15 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 09 Dec 2009 (15 years ago) |
| Document Number: | P01000003864 |
| FEI/EIN Number | 651067056 |
| Address: | 2445 SE 8TH STREET, POMPANO BEACH, FL, 33062, US |
| Mail Address: | 2445 SE 8TH STREET, POMPANO BEACH, FL, 33062, US |
| ZIP code: | 33062 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144317389 | 2006-10-09 | 2020-08-22 | PO BOX 70533, FT LAUDERDALE, FL, 333070533, US | 2445 SE 8TH ST, POMPANO BEACH, FL, 330626735, US | |||||||||||||||
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| Phone | +1 954-267-8777 |
| Fax | 9547727801 |
Authorized person
| Name | MR. JOHN T. GRAY |
| Role | PRESIDENT |
| Phone | 9542928657 |
Taxonomy
| Taxonomy Code | 363AS0400X - Surgical Physician Assistant |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SURGICAL ASSIST, INC. 401K PLAN | 2009 | 651067056 | 2010-10-08 | SURGICAL ASSIST, INC. | 11 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 651067056 |
| Plan administrator’s name | SURGICAL ASSIST, INC. |
| Plan administrator’s address | 2445 SE 8TH ST, POMPANO BEACH, FL, 330626735 |
| Administrator’s telephone number | 9542678777 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-08 |
| Name of individual signing | JOHN T. GRAY |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GRAY JOHN T | Agent | 2445 SE 8TH STREET, POMPANO BEACH, FL, 33062 |
| Name | Role | Address |
|---|---|---|
| GRAY JOHN T | PDTO | 2445 SE 8TH STREET, POMPANO BEACH, FL, 33062 |
| Name | Role | Address |
|---|---|---|
| GRAY HOLLIE M | Vice President | 2445 SE 8TH STREET, POMPANO BEACH, FL, 33062 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2009-12-09 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L09000117415. CONVERSION NUMBER 100000101021 |
| CHANGE OF PRINCIPAL ADDRESS | 2004-03-16 | 2445 SE 8TH STREET, POMPANO BEACH, FL 33062 | No data |
| CHANGE OF MAILING ADDRESS | 2004-03-16 | 2445 SE 8TH STREET, POMPANO BEACH, FL 33062 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2004-03-16 | 2445 SE 8TH STREET, POMPANO BEACH, FL 33062 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-04-22 |
| ANNUAL REPORT | 2007-04-24 |
| ANNUAL REPORT | 2006-02-12 |
| ANNUAL REPORT | 2005-02-18 |
| ANNUAL REPORT | 2004-03-16 |
| ANNUAL REPORT | 2003-03-17 |
| ANNUAL REPORT | 2002-03-26 |
| Domestic Profit | 2001-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
